
| Regimental number | 1304 |
| Place of birth | Melbourne, Victoria |
| Religion | Church of England |
| Occupation | Stockman |
| Address | Nullagine PO, Nullagine, Western Australia |
| Marital status | Single |
| Age at embarkation | 40 |
| Next of kin | sister,, Mrs Blanche Tipping, Gosnells, Western Australia |
| Enlistment date | |
| Date of enlistment from Nominal Roll | |
| Rank on enlistment | Lance Corporal |
| Unit name | 10th Light Horse Regiment, 10th Reinforcement |
| AWM Embarkation Roll number | 10/15/2 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT A32 Themistocles on |
| Rank from Nominal Roll | Sergeant |
| Unit from Nominal Roll | 10th Light Horse Regiment |
| Recommendations (Medals and Awards) |
Unspecified Recommendation date: |
| Fate | Returned to Australia |